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MEDICAI. AND SURGICAL PROGRESS. 513 ng, bathing, too frequent giving of nedicine and allowing child to go too ong without sleep. Make child com-ortable; give plenty of fresh air in •oom without direct current on patient; )ut by all means, allow the fresh air in ibundance; room temperature should lever go above 70 degrees F.; children krt often overclothed in winter and ^specially so when ill of pneumonia. Kerley said he had discarded the oil acket and uses mustard or turpentine applications instead. All children [hould be placed in a roomy crib; food ^upply should be less than in health be-:ause digestive capacity is less; nurs-ng hours should be the same, but du-[ation of nursing should be shortened, ^^ood, medicine and local applications (hould be made at the same hour during ^ight, so as not to break child's rest bo often. Steam inhalations of creo-ote are very valuable; so much so that )r. Holt has in the Babies Hospital a 'pecial room constructed in which chil-ren ill of pneumonia take these inhala-^ons. Ten drops of creosote are added b one quart of water in a croup kettle !nd heated and vapor conducted into rib which has been enveloped with heets so as to make fairly tight; every in minutes sheets should be parted and resh air allowed to enter; thirty min-ites of inhalation should be allowed K^ery 3 to 4 hours. Expectorants liould be used cautiously and only in ■arly stage and not sufficient to injure fie stomach. Ammonia salts are bad br stomach and the muriate should be •iven in not more than ^ gr. doses. In ases where bathing did not control emperature or could not be given in-Mligently, best give at 4 to 6 hour in-?rvals 1-5 grain caflfein, ^ grain phen-cetin and | grain Dover's powder. Teart stimulants were often begun too early and are indicated by pulse of 150 in case not strengthened by packs or sponging. Strychnine should be given until get the desired effect on heart; but do not begin too early. In very fast heart one drop of strophauthus tincture could be given every three hours, and is better than digitalis in action on circulation and is better borne by stomach. Nitroglycerine is indicated in cyanosis; brandy not as good as other stimulants, as it is trying on digestion. For sponging, best use when temperature goes to 104 deg. or over, one teaspoonful of salt to one quart of water or one part of alcohol to 4 parts of water, child being sponged under blanket and kept up for ten minutes and followed by brisk rubbing with hand; if this fail, resort to pack thus: one large bath towel, arm-holes cut in them so towel extends from neck to knees; place hot water bag to feet; moisten towels with warm water at first so as not to frighten child and then bring down to 85 or 80 degrees and let child remain in this for one-half hour, being turned from side to side. Take rectal temperature, and if no reduction, bring down to 60 or 65 de-greees. Pack may be used this way and child sleep; keep temperature 102.5 and 103.5 degrees. Older children often ask for pack. In discussion of the dangers of ad interim operations in appendicitis at the 54th meeting of the American Medical Association, and published in the Journal of the American Medical Association, the following conclusions were stated by Dr. A. J. Ochsner and we would call attention to his points on treatment: I, The mortality in appendicitis results from the extension of infection from the appendix to the peritoneum- or
Object Description
Rating | |
Fixed Title * | NCHH-20: The Carolina Medical Journal [1900-1908] |
Document Title | The Carolina Medical Journal [1900-1908] |
Subject Topical | Medicine -- North Carolina -- Periodicals. |
Subject Topical Other | Medicine -- North Carolina -- Periodicals. |
Publisher | Charlotte, N.C. : Carolina Medical Journal, 1900-1908. |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1903 |
Identifier | NCHH-20-049 |
Form General | Periodicals |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 49 |
Health Discipline | Medicine |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-20/nchh-20-049.pdf |
Document Sort | all; group-e; nchh-20 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-20-049 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-20 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1786885 |
Revision History | keep |
Description
Fixed Title * | Page 513 |
Document Title | The Carolina Medical Journal [1900-1908] |
Subject Topical | Medicine -- North Carolina -- Periodicals. |
Subject Topical Other | Medicine -- North Carolina -- Periodicals. |
Publisher | Charlotte, N.C. : Carolina Medical Journal, 1900-1908. |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1903 |
Identifier | NCHH-20-049-0663 |
Form General | Periodicals |
Page Type | all; report/review |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Filename | carolinamedicalj491903char_0663.jp2 |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 49 |
Issue Number | 10 |
Page Number | 513 |
Health Discipline | Medicine |
Full Text | MEDICAI. AND SURGICAL PROGRESS. 513 ng, bathing, too frequent giving of nedicine and allowing child to go too ong without sleep. Make child com-ortable; give plenty of fresh air in •oom without direct current on patient; )ut by all means, allow the fresh air in ibundance; room temperature should lever go above 70 degrees F.; children krt often overclothed in winter and ^specially so when ill of pneumonia. Kerley said he had discarded the oil acket and uses mustard or turpentine applications instead. All children [hould be placed in a roomy crib; food ^upply should be less than in health be-:ause digestive capacity is less; nurs-ng hours should be the same, but du-[ation of nursing should be shortened, ^^ood, medicine and local applications (hould be made at the same hour during ^ight, so as not to break child's rest bo often. Steam inhalations of creo-ote are very valuable; so much so that )r. Holt has in the Babies Hospital a 'pecial room constructed in which chil-ren ill of pneumonia take these inhala-^ons. Ten drops of creosote are added b one quart of water in a croup kettle !nd heated and vapor conducted into rib which has been enveloped with heets so as to make fairly tight; every in minutes sheets should be parted and resh air allowed to enter; thirty min-ites of inhalation should be allowed K^ery 3 to 4 hours. Expectorants liould be used cautiously and only in ■arly stage and not sufficient to injure fie stomach. Ammonia salts are bad br stomach and the muriate should be •iven in not more than ^ gr. doses. In ases where bathing did not control emperature or could not be given in-Mligently, best give at 4 to 6 hour in-?rvals 1-5 grain caflfein, ^ grain phen-cetin and | grain Dover's powder. Teart stimulants were often begun too early and are indicated by pulse of 150 in case not strengthened by packs or sponging. Strychnine should be given until get the desired effect on heart; but do not begin too early. In very fast heart one drop of strophauthus tincture could be given every three hours, and is better than digitalis in action on circulation and is better borne by stomach. Nitroglycerine is indicated in cyanosis; brandy not as good as other stimulants, as it is trying on digestion. For sponging, best use when temperature goes to 104 deg. or over, one teaspoonful of salt to one quart of water or one part of alcohol to 4 parts of water, child being sponged under blanket and kept up for ten minutes and followed by brisk rubbing with hand; if this fail, resort to pack thus: one large bath towel, arm-holes cut in them so towel extends from neck to knees; place hot water bag to feet; moisten towels with warm water at first so as not to frighten child and then bring down to 85 or 80 degrees and let child remain in this for one-half hour, being turned from side to side. Take rectal temperature, and if no reduction, bring down to 60 or 65 de-greees. Pack may be used this way and child sleep; keep temperature 102.5 and 103.5 degrees. Older children often ask for pack. In discussion of the dangers of ad interim operations in appendicitis at the 54th meeting of the American Medical Association, and published in the Journal of the American Medical Association, the following conclusions were stated by Dr. A. J. Ochsner and we would call attention to his points on treatment: I, The mortality in appendicitis results from the extension of infection from the appendix to the peritoneum- or |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-20/nchh-20-049.pdf |
Document Sort | all; group-e; nchh-20 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-20-049 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-20 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1786885 |
Revision History | keep |
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